FREE Online Estimate Please use the form below to send your information and upload a photo of the issue. We'll get back to you as soon as possible. All photos must be submitted in order for an estimate to be written. Your Name* First Last Phone*Email Please Describe Your Vehicle's Damage*VIN Number*Vehicle PhotosFront Left*Please upload a photo of the front left of the vehicle.Front Right*Please upload a photo of the front right of the vehicle.Rear Left*Please upload a photo of the rear left of the vehicle.Rear Right*Please upload a photo of the rear right of the vehicle.Vehicle Damage*Please upload a photo of the damage. This iframe contains the logic required to handle Ajax powered Gravity Forms. Online Authorization Customer Name* First Last Customer Phone*Customer Email* Date* Date Format: MM slash DD slash YYYY Vehicle Year / Make / Model*Vehicle License Plate #*VIN Number*Electronic Signature Leave all keys to the vehicle that we may need, do not leave other keys. Used (LKQ) or non-original equipment (after-market) parts will be installed as specified by the repairing insurance company’s estimate. This vehicle is being repaired for YOU as the OWNER. When the vehicle is ready to be released we look to you for payment via cash, personal check, credit card or insurance check. E.L.B. is not responsible for theft of or damage to valuables left in the vehicle. WARNING. Be sure your check is properly endorsed. Lienholders and other parties listed on the check and required for endorsement are YOUR responsibility prior to giving it to us. All personal and business checks require a driver’s license. There is a $35 fee for returned checks. Some insurance companies will only pay authorized supplements to the vehicle owner. You may have to pay this additional cost to us while waiting to be reimbursed by the insurance company if you pick up the vehicle. Vehicles not repaired by us are subject to a $65 per day storage fee. This fee also applies to repaired vehicles left over 72 hours following completion. After 30 days, interest at the rate of 1.6% will be charged to the balance owed. A research company may contact you to collect customer satisfaction information. I hereby authorize the above repair work to be done along with the necessary material and hereby grant you and/or your employees' permission to operate the vehicle herein described on streets, highways or elsewhere for the purpose of testing and/or inspection. An express mechanic’s lien is hereby acknowledged on the above vehicle to ensure the amount of repairs hereto. E.L.B. is not responsible for unavailability of parts or delays in parts shipments nor loss or damage to vehicle or articles left in vehicle in case of fire, theft or any other cause beyond our control. YOU WILL BE GIVEN AN ESTIMATE BEFORE ANY WORK IS PERFORMED, UNLESS OTHERWISE ARRANGED. If you prefer contact via email, please provide address:Electronic Signature*Date* Date Format: MM slash DD slash YYYY